Ukulungiswa kweMeningocele

Ukulungiswa kweMeningocele (ekwabizwa ngokuba kukulungiswa kwe-myelomeningocele) lutyando ukulungisa iziphene zokuzalwa komqolo kunye neembambo zomqolo. I-Meningocele kunye ne-myelomeningocele ziindidi zespina bifida.

Kuzo zombini i-meningoceles kunye ne-myelomeningoceles, ugqirha uya kuvala ukuvulwa ngasemva.

Emva kokuzalwa, isiphako sigutyungelwa kukungabinazintsholongwane. Umntwana wakho emva koko angadluliselwa kwicandelo lokhathalelo olunzulu lwe-neonatal (NICU). Ukhathalelo luya kubonelelwa liqela lezonyango elinamava kubantwana abane-spina bifida.

Umntwana wakho uya kuba ne-MRI (i-magnetic resonance imagining) okanye i-ultrasound yangasemva. I-MRI okanye i-ultrasound yengqondo inokwenziwa ukukhangela i-hydrocephalus (ulwelo olongezelelekileyo kwingqondo).

Ukuba i-myelomeningocele ayigutyungelwanga lulusu okanye inwebu xa kuzalwa umntwana wakho, utyando luya kwenziwa kwisithuba seeyure ezingama-24 ukuya kuma-48 emva kokuzalwa. Oku kukuthintela usulelo.

Ukuba umntwana wakho unehydrocephalus, i-shunt (ityhubhu yeplastiki) iya kufakwa kwingqondo yomntwana ukukhupha ulwelo olongezelelweyo esiswini. Oku kuthintela uxinzelelo olunokonakalisa ingqondo yomntwana. I-shunt ibizwa ngokuba yi-ventriculoperitoneal shunt.

Umntwana wakho akufuneki ukuba avezwe kwi-latex ngaphambi, ngexesha, nasemva kotyando. Uninzi lwabantwana abanale meko banengxaki yokugula kakhulu kwi-latex.

Ukulungiswa kwe-meningocele okanye i-myelomeningocele kuyafuneka ukuthintela usulelo kunye nokwenzakala okungaphezulu kwintambo yomqolo kunye ne-nerves yomntwana. Utyando alunakho ukulungisa iziphene kwintambo yomqolo okanye kwimithambo-luvo.

Umngcipheko wayo nayiphi na i-anesthesia kunye notyando zezi:

• Iingxaki zokuphefumla
• Impendulo kumayeza
• Ukopha
• Usulelo

Iingozi zolu tyando zezi:

• Ulwakhiwo lwamanzi kunye noxinzelelo kwingqondo (i-hydrocephalus)
• Ukwanda kwamathuba osulelo lomchamo kunye neengxaki zamathumbu
• Usulelo okanye ukuvuvukala kwentambo yomgogodla
• Ukukhubazeka, ubuthathaka, okanye utshintsho kwimvakalelo ngenxa yokuphulukana nomsebenzi we-nerve

Umboneleli ngononophelo lwempilo uhlala ezifumana ezi ziphene ngaphambi kokuzalwa esebenzisa i-fetal ultrasound. Umboneleli uya kulandela umbungu ngokusondeleyo kude kuzalwe. Kungcono ukuba usana luthwaliswe ixesha elipheleleyo. Ugqirha wakho uya kufuna ukwenza ukuhanjiswa kwe-cearean (icandelo le-C). Oku kuya kuthintela ukonakala okungaphezulu kwisaka okanye izicubu zomqolo ezibonakalisiweyo.

Umntwana wakho uhlala efuna ukuchitha iiveki ezimbini esibhedlele emva kotyando. Umntwana kufuneka alale phantsi ngaphandle kokuchukumisa indawo yenxeba. Emva kotyando, umntwana wakho uya kufumana i-antibiotics ukuthintela usulelo.

I-MRI okanye i-ultrasound yengqondo iyaphindaphindwa emva kotyando ukubona ukuba i-hydrocephalus ikhula kanye xa isiphene ngasemva silungisiwe.

Umntwana wakho unokufuna unyango lomzimba, lomsebenzi kunye nokuthetha. Uninzi lwabantwana abanezi ngxaki banobunzima obukhulu (obukhulu) kunye nokukhubazeka (okuncinci), kunye neengxaki zokuginya, kwasekuqaleni kobomi.

Umntwana unokufuna ukubona iqela leengcali zonyango kwi-spina bifida rhoqo emva kokuphuma esibhedlele.

Indlela aqhuba ngayo umntwana ixhomekeke kwimeko yokuqala yomqolo kunye neentsholongwane. Emva kokulungiswa kwe-meningocele, abantwana bahlala beqhuba kakuhle kakhulu kwaye bengabinangxaki yobuchopho, imithambo-luvo okanye izihlunu.

Abantwana abazalwa benesifo se-myelomeningocele bahlala bekhubazeka okanye buthathaka izihlunu ezingaphantsi kwenqanaba lomqolo apho kukho isiphene. Kananjalo abanakho ukulawula isinyi okanye amathumbu abo. Kuya kufuneka ukuba bafumane inkxaso kwezonyango nakwezemfundo iminyaka emininzi.

Ukukwazi ukuhamba nokulawula umsebenzi wamathumbu kunye nesinyi kuxhomekeke apho isiphene sokuzalwa sasikhona emqolo. Iziphene ezisezantsi kwintambo yomqolo zinokuba neziphumo ezingcono.

Ukulungiswa kweMyelomeningocele; Ukuvalwa kwe-Myelomeningocele; Ukulungiswa kweMelodysplasia; Ukulungiswa kwedysraphism yomqolo; Ukulungiswa kweMeningomyelocele; Ukulungiswa kwesiphene se-Neural; Ukulungiswa kweSpina bifida

• Unonophelo lwenxeba lotyando - luvulekile

• Ukulungiswa kweMeningocele - uthotho

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URobinson S, uCohen AR. I-Myelomeningocele kunye neziphene ezinxulumene ne-neural tube. Ku: UMartin RJ, uFanaroff AA, uWalsh MC, ii-eds. UFanaroff kunye noMartin's Neonatal-Perinatal Medicine. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl 65.